FERPA Block Request Form

Under the protection of FERPA (Family Educational Rights and Privacy Act of 1974), DigiPen will not release any information pertaining to a student’s academic, financial, or account records to any family member or personnel who may request information about an individual’s record, unless permission to release this information is indicated by the student by completing the Proxy module in Colleague Self-Service.

FERPA regulations and the Proxy module cover Personally Identifiable Information (PII). Another type of information, which FERPA regulations allow us to share with 3rd parties (only when necessary). Directory information at DigiPen Institute of Technology is currently defined as a student’s name, primary telephone number, Institute email address, major, dates of attendance, full or part-time enrollment status, and previous educational institutions attended.

If you would like to block sharing of ALL Directory Information, you may do so by completing this form. Please note that a Full FERPA Block will block DigiPen from sharing ANY information about you, and will remove your name/information from any DigiPen publications, graduation information, events, etc., and will block us from discussing you and your information with any prospective schools, employers, or other 3rd parties.

To request a full FERPA Block or removal of one, please complete the fields below.

Date of Request: Date of Request: * / MM / DD YYYY
Student Full Name: *
Student DigiPen Email: *

We will only process this request with an Official DigiPen Email. We will NOT process with a personal email.
Student ID:
FERPA Block *

FERPA Block Full FERPA Block Remove Full FERPA Block
Print Name (Student's Full Name): *

I understand this is a legal presentation of my signature.
Frequently Asked Questions:

Where can I find more information about my rights as a student under FERPA?
More information is available online at: www.ed.gov/policy/gen/guid/fpco/ferpa/index.html
What if I am under age 18?
At any age, if you are taking post-secondary level courses at DigiPen, your FERPA rights regarding your education records at DigiPen belong to you and not to your parents.
What if I simply want my transcripts to be sent somewhere on a one-time basis?
If you need to have an official transcript mailed, please use the separate Transcript Request form available in Colleague Self-Service. DigiPen Institute of Technology does not automatically mail grades to anyone.
Who might ask for my directory information?
We will respond to credit bureaus, professional reference checkers, employers, landlords, banks and other financial institutions, the federal government, and other individuals/organizations with typically reasonable and legitimate requests for directory information. DigiPen will always exercise discretion and not respond to unreasonable requests. If you refuse consent of directory information (via a FERPA block), DigiPen will honor your request except in situations where a release is otherwise permitted or required by law. Directory information at DigiPen Institute of Technology is currently defined as a student’s name, primary telephone number, Institute email address, major, dates of attendance, full or part-time enrollment status, and previous educational institutions attended. Please see the Course Catalog for the current academic year for the most recent information regarding directory information.
What will happen if I do not list anyone or do not turn in this form?
Anyone who requests non-directory information will be told that “no information is available.” This includes a student’s parents, spouse, employer, and anyone who the student would wish to contact DigiPen for academic, financial, or other reasons. DigiPen faculty and staff cannot divulge/discuss any information regarding your financial aid, academic progress, account balances (even to those with “good intentions”) without your consent. Should you require a faculty or administrative employee of DigiPen to serve as a reference, please fill out the Student Reference Request/FERPA Release form.
What if I need someone’s help with my tuition, account, or financial aid status?
Go to Colleague Self-Service and create a Proxy for those persons, even if you think a subject is “no big deal” to discuss.
What if I fill out this form now and change my mind later?
Simply fill out a new FERPA Block Request form. Your rights remain intact so long as you are a current or former DigiPen student.
Important Information for Parents

DigiPen Institute of Technology may disclose information to parents or legal guardians of dependent children only if one of the following conditions is met:
• Student completion of the Proxy module on your behalf OR

• Submission of a copy of the first page of a parent’s or legal guardian’s income tax return, which shows that the requesting parent or legal guardian did claim the child/student as a dependent on the most recent U.S. federal income tax return (even if the Full FERPA Block has been created). We need to see only the front page of the federal 1040 tax return that shows the student as a dependent. You may feel free to cover the actual financial information. When the parents or legal guardians are divorced, we will accept a copy of a court decree (or a Settlement Agreement incorporated into the court decree) that gives one party or the other the right to claim the child/student as a dependent for federal income tax purposes.
NOTE: if the student is a tax dependent of a parent or legal guardian, non-custodial parent(s) with proof that they are the natural parent(s) may inspect and review the education records of their child unless the Office of the Registrar has been provided with evidence that there is a legally binding instrument, or state law, or court order which provides to the contrary. The request must be in writing and the Office of the Registrar personnel will notify the custodial parent(s) or legal guardian(s).

• The key under the law is that the child be claimed as a dependent and not simply that a parent or legal guardian be assisting in the cost of education of the student.

• Parents or legal guardians who meet the requirements of one of the above-mentioned conditions may have access to the records of their dependent child(ren). Parents or legal guardians will be asked to supply proof that a student is claimed as a dependent once during each academic year. For more information, please contact the Office of the Registrar.

FERPA Block Request Form

FERPA Block Request Form

Frequently Asked Questions:

Important Information for Parents